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类风湿性关节炎伴严重肩胛盂骨缺损肩部的双侧骨增加偏移反式肩关节置换术：一例报告

Bilateral bony increased-offset reverse shoulder arthroplasty in rheumatoid arthritis shoulder with severe glenoid bone defect: A case report.

作者信息

Choi Wan-Sun, Lee Kwang-Hyun, Park Jin-Sung, Lee Bong Gun

机构信息

Department of Trauma Surgery, Ajou University Hospital, Suwon, Republic of Korea.

Department of Orthopedic Surgery, Hanyang University College of Medicine, Seoul, Republic of Korea.

出版信息

Acta Orthop Traumatol Turc. 2017 May;51(3):262-265. doi: 10.1016/j.aott.2015.03.002. Epub 2017 Jun 2.

DOI:10.1016/j.aott.2015.03.002
PMID:28583754
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6197586/
Abstract

A 53-year-old woman presented with 10-year history of pain and limited range of motion in both shoulders. Radiographs of both shoulders showed severe shoulder osteoarthritis with glenoid bone defect. Very thin rotator cuff and superior migration of the humerus were also observed on computed tomography images. We performed bony increased-offset reverse total shoulder arthroplasty on her both shoulders. The patient had a good clinical outcome without any particular complication.

摘要

一名53岁女性，双肩疼痛伴活动受限10年。双肩X线片显示严重的肩关节骨关节炎伴肩胛盂骨缺损。计算机断层扫描图像还显示肩袖非常薄以及肱骨向上移位。我们对她的双肩进行了骨增加偏移量的反向全肩关节置换术。患者临床效果良好，无任何特殊并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a86d/6197586/fb8c6c7884b7/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a86d/6197586/e582ceb01969/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a86d/6197586/206bb65f6913/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a86d/6197586/9fea2bd5299a/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a86d/6197586/fb8c6c7884b7/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a86d/6197586/e582ceb01969/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a86d/6197586/206bb65f6913/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a86d/6197586/9fea2bd5299a/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a86d/6197586/fb8c6c7884b7/gr4.jpg

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本文引用的文献

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Resurfacing shoulder arthroplasty for the treatment of severe rheumatoid arthritis: outcome in 167 patients from the Danish Shoulder Registry.用于治疗重度类风湿性关节炎的肩关节表面置换术：来自丹麦肩关节注册中心的167例患者的治疗结果
Acta Orthop. 2015 Jun;86(3):293-7. doi: 10.3109/17453674.2015.1018761. Epub 2015 Feb 12.
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Shoulder arthroplasty for rheumatoid arthritis: 303 consecutive cases with minimum 5-year follow-up.类风湿性关节炎的肩关节置换术：303 例连续病例，最少随访 5 年。
J Shoulder Elbow Surg. 2014 Jun;23(6):791-9. doi: 10.1016/j.jse.2013.09.016. Epub 2013 Dec 4.
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Early results of reverse shoulder arthroplasty in patients with rheumatoid arthritis.
反向肩关节置换术治疗类风湿关节炎患者的早期结果。
J Bone Joint Surg Am. 2011 Oct 19;93(20):1915-23. doi: 10.2106/JBJS.J.00300.
4
Bony increased-offset reversed shoulder arthroplasty: minimizing scapular impingement while maximizing glenoid fixation.骨量增加的反向肩关节置换术：在最大化肩胛盂固定的同时最小化肩胛撞击。
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Total shoulder replacement in rheumatoid disease: a 16- to 23-year follow-up.类风湿性疾病全肩关节置换术：16至23年随访
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Grammont reverse prosthesis: design, rationale, and biomechanics.格拉蒙反置假体：设计、原理及生物力学
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Early results of a reverse design prosthesis in the treatment of arthritis of the shoulder in elderly patients with a large rotator cuff tear.一种反向设计假体治疗伴有巨大肩袖撕裂的老年患者肩关节关节炎的早期结果
Orthopedics. 2002 Feb;25(2):129-33. doi: 10.3928/0147-7447-20020201-16.
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Subacromial space in the rheumatoid shoulder: a radiographic 15-year follow-up study of 148 shoulders.类风湿性肩关节的肩峰下间隙：148 例肩关节的 15 年影像学随访研究
J Shoulder Elbow Surg. 2000 May-Jun;9(3):183-7.
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Total shoulder replacement in rheumatoid arthritis: proximal migration and loosening.类风湿性关节炎全肩关节置换术：假体近端移位与松动
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Painful shoulder joint in rheumatoid arthritis. A clinical and radiological study of 200 cases, with special reference to arthrography of the glenohumeral joint.类风湿关节炎中的肩部疼痛关节。200例临床与放射学研究，特别提及盂肱关节造影术。
Acta Rheumatol Scand. 1967:Suppl 11:1-116. doi: 10.3109/rhe1.1967.12.suppl-11.01.